Laserfiche WebLink
COMPLETION Ili Stove Pipe LIChristie Box <br />casing <br />height <br />CRRISTY-BOX <br />COMPLET19N <br />Ground Surfaca <br />IL <br />ft. <br />ft <br />slatted <br />sacdon <br />ft. <br />grout <br />11/r • <br />COUNTY <br />\F::1,,,ipcie Greatness grows here. <br />Environmental Health Department <br />Monitoring Well/Soil Boring Inspection Report <br />Date: ilia I I Inspector: 7.150.41(..e.c <br />Facility Address:_4011sLur t. A,22.111, 410- <br />Well Address: <br />WP# 00 51411 Well#: <br />Soil Boring#: ou, 8 frkvi - I S <br />Drilling Company: 40,,,,n,c,c.2 A-tajmiontsiek, <br />Driller Onsite: 4..v• COO 942X <br />Consultant: tc-14:ncCtiQA- <br />Geologist: (ty-kc, p itft2 <br />Public Water System Onsite: LI Yes <br />Domestic Well Onsite: LI Yes pco <br />If yes, location and distance: <br />SAMPLING <br />Holding Temperature: <br />Method: <br />Screening Method: <br />Verified Chain of Custody: LI Yes ON° <br />SPOILS <br />Contamination Noted: D Yes CINo <br />If yes, spoils storage Location: <br />Covered: El Yes D No <br />If yes, material: <br />GROUTING or DESTRUCTION Total Depth: <br />Depth to Water: 2.4- <br />Grout Material: WeJNA- <br />Gallons of Grout Used: 1,0 <br />LI Well Installation 111 Well Destruction <br />Li Boring Installation D Boring Destruction <br />METHOD USED <br />CIPressure Grout ElOver Drill <br />D Gravity WITremie 1710ther: <br />Water <br />gallons <br />Cement 47Ib <br />Bags <br />Water <br />gallons <br />Cement 94 lb <br />Bags <br />Thickest Thinnest # Bags Thickest Thinnest //Bags <br />2.5 5 1 5 10 1 <br />5 10 2 10 20 2 <br />7.5 15 3 15 30 3 <br />10 20 4 20 40 4 <br />12.5 25 5 25 50 5 <br />15 30 6 30 60 6 <br />17.5 35 7 35 70 7 <br />20 40 8 40 80 8 <br />CONSTRUCTION <br />Total Depth: <br />Drilling Rig Type: <br />Min 2" Annular EHD Seal Verified: D Yes ON° <br />To: <br />To: <br />To: <br />To: <br />MATERIALS/DEVELOPMENT <br />Casing Type: <br />Blank Feet Screen Feet <br />Slot Size: <br />Bags of Cement: <br />Bags Sand/Gravel: <br />Type/Brand of Bentonite: <br />Filter Pack Type/Size: <br />Type of Method: <br />Bentonite/Cement Mix 3% Mix 5% Mix <br />Bentonite per 47 lb 1.41 2.47 <br />Bentonite per 94 lb 2.82 4.7 <br />Screen Length From: <br />Filter Pack <br />From: <br />Bentonite From: <br />Grout <br />From: <br />2 btuas (1.11A0 i3142,c (a vet tt F too-kr <br /> p/16 /2017 <br />1868 E. Hazelton Avenue I Stockton, California 95205 I 1 209 468-3420 I F 209 464-0138 I www.sicehd.com